CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Preventing relapse after CD19 CAR T-cell therapy for pediatric ALL: the role of transplant and enhanced CAR T cells.
Preventing relapse after CD19 CAR T-cell therapy for pediatric ALL: the role of transplant and enhanced CAR T cells.
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CD19特异性嵌合抗原受体(CAR)T细胞疗法已成为治疗复发/难治性B细胞急性淋巴细胞白血病(B-ALL)儿童的重要方案。但尽管初始缓解率超过80%,只有40%至50%的患者能获得持久缓解。本综述总结CD19 CAR-T 治疗后达到微小残留病阴性完全缓解的儿童患者,巩固性造血细胞移植在疾病管理中的作用及现有认识。此外,本文回顾增强CD19 CAR-T 效应功能的策略,重点讨论如何提高细胞持留并防止CD19阴性B-ALL原始细胞出现。
CD19-specific chimeric antigen receptor (CAR) T-cell therapy has become an integral part of our treatment armamentarium for pediatric patients with relapsed or refractory B-cell acute lymphoblastic leukemia (B-ALL).
However, despite initial remission rates of greater than 80%, durable remission occurs in only 40% to 50% of patients. In this review we summarize our current knowledge of the role of consolidative hematopoietic cell transplantation in the management of pediatric patients who achieved a minimal residual disease-negative complete response post CD19 CAR T-cell therapy.
In addition, we review approaches to enhance effector function CD19 CAR T cells, focusing on how to improve persistence and prevent the emergence of CD19- B-ALL blasts.
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